Provider Demographics
NPI:1538811237
Name:CROSS, MONICA RENEE (FNP)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:RENEE
Last Name:CROSS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4928 LONGBURN LN
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-7193
Mailing Address - Country:US
Mailing Address - Phone:252-532-9079
Mailing Address - Fax:
Practice Address - Street 1:4928 LONGBURN LN
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-7193
Practice Address - Country:US
Practice Address - Phone:252-532-9079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF08210586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily